33D1039649 CLIA NUMBER - MARIAN DAVID, MD PC

Laboratory Demographics

  • CLIA Code: 33D1039649
  • Facility Name: MARIAN DAVID, MD PC
  • Facility Address: 125-10 QUEENS BLVD, SUITE 2701
    KEW GARDENS, NY
    ZIP 11415
  • Facility Phone: 718 261-0444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIAN DAVID MD
  • NPI Number: 1619073046
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1039649
LAB Type Physician Office
Facility Name MARIAN DAVID, MD PC
Street 125-10 QUEENS BLVD, SUITE 2701
City KEW GARDENS
State NY
ZIP 11415
Phone 718 261-0444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director MARIAN DAVID MD

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This page was last updated on: 9/29/2025